Calculates the patient's risk score under the current CMS model as the codes change, and shows every component — demographic base, each HCC, disease count and interactions — so nothing is a black box. It uses the payment year the date of service implies.
S7 RAF
The patient's risk score, itemised, updated as the codes change.
The Risk Score Agent calculates the CMS-HCC score as the coder works and shows every component — demographic base, each HCC, disease count, interactions — for the payment year the date of service implies. A what-if calculator answers 'what happens if we capture this?' before anyone decides.
Part of the S7 platform — every product runs in the same application and works from the same clinical reference, inside your organisation's own boundary.
- Current CMS-HCC model, every component shown
- Hierarchies applied correctly so nothing double-counts
- Payment year chosen from the date of service
- What-if calculator for hypothetical code sets
- Never an estimate: if it cannot calculate, it says so
1 agent. What each reads, produces, and never does.
Step by step.
From age and coverage, with the assumption shown and changeable.
Only the categories that actually count are scored.
Base, each HCC, disease count and interactions, each visible.
The what-if calculator runs the same calculation on a hypothetical set.
What S7 RAF is built never to do.
If it cannot calculate, it shows nothing rather than a guess.
Hierarchies are applied before scoring.
The payment year follows the date of service.